Risk factors for lower limb lymphedema after lymph node dissection in patients with ovarian and uterine carcinoma
Identifieur interne : 003200 ( Ncbi/Curation ); précédent : 003199; suivant : 003201Risk factors for lower limb lymphedema after lymph node dissection in patients with ovarian and uterine carcinoma
Auteurs : Harue Tada [Japon] ; Satoshi Teramukai [Japon] ; Masanori Fukushima [Japon] ; Hiroshi Sasaki [Japon]Source :
- BMC Cancer [ 1471-2407 ] ; 2009.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Carcinomes (), Facteurs de risque, Femelle, Humains, Incidence, Jeune adulte, Lymphadénectomie (), Lymphadénectomie (effets indésirables), Lymphoedème (épidémiologie), Lymphoedème (étiologie), Membre inférieur, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de l'ovaire (), Tumeurs de l'utérus (), Études rétrospectives.
- MESH :
- effets indésirables : Lymphadénectomie.
- épidémiologie : Lymphoedème.
- étiologie : Lymphoedème.
- Adolescent, Adulte, Adulte d'âge moyen, Carcinomes, Facteurs de risque, Femelle, Humains, Incidence, Jeune adulte, Lymphadénectomie, Membre inférieur, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de l'ovaire, Tumeurs de l'utérus, Études rétrospectives.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Carcinoma (surgery), Female, Humans, Incidence, Lower Extremity, Lymph Node Excision (adverse effects), Lymph Node Excision (statistics & numerical data), Lymphedema (epidemiology), Lymphedema (etiology), Middle Aged, Ovarian Neoplasms (surgery), Retrospective Studies, Risk Factors, Uterine Neoplasms (surgery), Young Adult.
- MESH :
- adverse effects : Lymph Node Excision.
- epidemiology : Lymphedema.
- etiology : Lymphedema.
- statistics & numerical data : Lymph Node Excision.
- surgery : Carcinoma, Ovarian Neoplasms, Uterine Neoplasms.
- Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Incidence, Lower Extremity, Middle Aged, Retrospective Studies, Risk Factors, Young Adult.
Abstract
Lymph node dissection has proven prognostic benefits for patients with ovarian or uterine carcinoma; however, one of the complications associated with this procedure is lymphedema. We aimed to identify the factors that are associated with the occurrence of lymphedema after lymph node dissection for the treatment of ovarian or uterine carcinoma.
A total of 694 patients with histologically confirmed ovarian (135 patients) or uterine cancer (258 with cervical cancer, 301 with endometrial cancer) who underwent lymph node dissection were studied retrospectively. Logistic regression analyses were used to identify the risk factors associated with occurrence of lymphedema.
Among ovarian and uterine cancer patients who underwent pelvic lymph node dissection, post-operative radiotherapy (odds ratio: 1.79; 95% confidence interval: 1.20–2.67; p = 0.006) was statistically significantly associated with occurrence of lymphedema.
There was no relationship between any surgical procedure and occurrence of lymphedema among patients undergoing pelvic lymphadenectomy. Our findings are supported by a sound biological rationale because they suggest that limb lymphedema is caused by pelvic lymph node dissection.
Url:
DOI: 10.1186/1471-2407-9-47
PubMed: 19193243
PubMed Central: 2660366
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PMC:2660366Le document en format XML
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Carcinoma (surgery)</term>
<term>Female</term>
<term>Humans</term>
<term>Incidence</term>
<term>Lower Extremity</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymph Node Excision (statistics & numerical data)</term>
<term>Lymphedema (epidemiology)</term>
<term>Lymphedema (etiology)</term>
<term>Middle Aged</term>
<term>Ovarian Neoplasms (surgery)</term>
<term>Retrospective Studies</term>
<term>Risk Factors</term>
<term>Uterine Neoplasms (surgery)</term>
<term>Young Adult</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Carcinomes ()</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Incidence</term>
<term>Jeune adulte</term>
<term>Lymphadénectomie ()</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème (épidémiologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Membre inférieur</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs de l'ovaire ()</term>
<term>Tumeurs de l'utérus ()</term>
<term>Études rétrospectives</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Lymph Node Excision</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Carcinoma</term>
<term>Ovarian Neoplasms</term>
<term>Uterine Neoplasms</term>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Incidence</term>
<term>Lower Extremity</term>
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<term>Retrospective Studies</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Carcinomes</term>
<term>Facteurs de risque</term>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Lymph node dissection has proven prognostic benefits for patients with ovarian or uterine carcinoma; however, one of the complications associated with this procedure is lymphedema. We aimed to identify the factors that are associated with the occurrence of lymphedema after lymph node dissection for the treatment of ovarian or uterine carcinoma.</p>
</sec>
<sec><title>Methods</title>
<p>A total of 694 patients with histologically confirmed ovarian (135 patients) or uterine cancer (258 with cervical cancer, 301 with endometrial cancer) who underwent lymph node dissection were studied retrospectively. Logistic regression analyses were used to identify the risk factors associated with occurrence of lymphedema.</p>
</sec>
<sec><title>Results</title>
<p>Among ovarian and uterine cancer patients who underwent pelvic lymph node dissection, post-operative radiotherapy (odds ratio: 1.79; 95% confidence interval: 1.20–2.67; p = 0.006) was statistically significantly associated with occurrence of lymphedema.</p>
</sec>
<sec><title>Conclusion</title>
<p>There was no relationship between any surgical procedure and occurrence of lymphedema among patients undergoing pelvic lymphadenectomy. Our findings are supported by a sound biological rationale because they suggest that limb lymphedema is caused by pelvic lymph node dissection.</p>
</sec>
</div>
</front>
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